CC BY-NC-ND 4.0 · AJP Rep 2019; 09(02): e138-e143
DOI: 10.1055/s-0039-1683362
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Effect of a High-Fat Diet and Metformin on Placental mTOR Signaling in Mice

Matthew R. Grace
1   Tennessee Maternal Fetal Medicine and the University of Tennessee, Division of Obstetrics and Gynecology, Department of Clinical Medicine Education, Nashville, Tennessee
,
Sarah K. Dotters-Katz
2   Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina
,
Chunxiao Zhou
3   Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
,
Tracy Manuck
4   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
5   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and Carolina Institute for Environmental Health Solutions, University of North Carolina School of Medicine, Chapel Hill, North Carolina
,
Kim Boggess
4   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
,
Victoria Bae-Jump
3   Division of Gynecologic Oncology, University of North Carolina School of Medicine, Chapel Hill, North Carolina
› Author Affiliations
Further Information

Publication History

25 October 2018

11 December 2018

Publication Date:
09 April 2019 (online)

Abstract

Objective This study was aimed to measure the effects of a high-fat diet and metformin on placental mechanistic target of rapamycin (mTOR) signaling in mice.

Study Design Pregnant friend virus B (FVB)-strain mice were allocated on embryonic day (e) 0.5 to one of four groups; group 1: control diet (CD, 10% fat) + control treatment (CT), group 2: CD + metformin treatment (MT), group 3: high-fat diet (HFD, 60% fat) + CT, and group 4: HFD + MT. Metformin (2.5 mg/mL) was provided in water; CT mice received water. Fetuses and placentas were collected. Western blot measured placental p-Akt and p-S6 expression.

Results 20 dams (five/group) and 192 fetuses were studied. Compared with CD-fed, HFD-fed dams had higher placental p-Akt protein expression (p < 0.0001). Among HFD-dams, placental p-Akt was higher in metformin-treated compared with control-treated (p < 0.001). Among CD-fed dams, there was no significant difference in placental p-S6 expression in MT versus CT groups. Among HFD-fed dams placental p-S6 expression was lower in those exposed to metformin-treated versus controls (p = 0.001).

Conclusion Increased placental mTOR signaling and metformin inhibition of placental mTOR signaling only occurred in the presence of an HFD exposure. These findings suggest that metformin may modulate placental mTOR signaling in the presence of metabolic exposures during pregnancy.

Presentation

Presented, in part, in poster format at the Society for Maternal Fetal Medicine's 37th Annual Pregnancy Meeting, January 27, 2017, Las Vegas, NV.


Financial Disclosure

This study was funded, in part, by the UNC Cefalo-Bowes Young Investigator Award (Dr. M.R.G.), the UNC Oliver Smithies Investigator Award (Dr. K.B.).


 
  • References

  • 1 Anderson NH, McCowan LM, Fyfe EM. , et al; SCOPE Consortium. The impact of maternal body mass index on the phenotype of pre-eclampsia: a prospective cohort study. BJOG 2012; 119 (05) 589-595
  • 2 Weiss JL, Malone FD, Emig D. , et al; FASTER Research Consortium. Obesity, obstetric complications and cesarean delivery rate--a population-based screening study. Am J Obstet Gynecol 2004; 190 (04) 1091-1097
  • 3 Galtier-Dereure F, Boegner C, Bringer J. Obesity and pregnancy: complications and cost. Am J Clin Nutr 2000; 71 (5, Suppl): 1242S-1248S
  • 4 Lashen H, Fear K, Sturdee DW. Obesity is associated with increased risk of first trimester and recurrent miscarriage: matched case-control study. Hum Reprod 2004; 19 (07) 1644-1646
  • 5 Salihu HM, Dunlop AL, Hedayatzadeh M, Alio AP, Kirby RS, Alexander GR. Extreme obesity and risk of stillbirth among black and white gravidas. Obstet Gynecol 2007; 110 (03) 552-557
  • 6 Boney CM, Verma A, Tucker R, Vohr BR. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics 2005; 115 (03) e290-e296
  • 7 Catalano PM, Farrell K, Thomas A. , et al. Perinatal risk factors for childhood obesity and metabolic dysregulation. Am J Clin Nutr 2009; 90 (05) 1303-1313
  • 8 Hull HR, Dinger MK, Knehans AW, Thompson DM, Fields DA. Impact of maternal body mass index on neonate birthweight and body composition. Am J Obstet Gynecol 2008; 198 (04) 416.e1-416.e6
  • 9 Krakowiak P, Walker CK, Bremer AA. , et al. Maternal metabolic conditions and risk for autism and other neurodevelopmental disorders. Pediatrics 2012; 129 (05) e1121-e1128
  • 10 Edlow AG, Guedj F, Pennings JL, Sverdlov D, Neri C, Bianchi DW. Males are from Mars, and females are from Venus: sex-specific fetal brain gene expression signatures in a mouse model of maternal diet-induced obesity. Am J Obstet Gynecol 2016; 214 (05) 623.e1-623.e10
  • 11 Howie GJ, Sloboda DM, Kamal T, Vickers MH. Maternal nutritional history predicts obesity in adult offspring independent of postnatal diet. J Physiol 2009; 587 (Pt 4): 905-915
  • 12 Volpato AM, Schultz A, Magalhães-da-Costa E, Correia ML, Águila MB, Mandarim-de-Lacerda CA. Maternal high-fat diet programs for metabolic disturbances in offspring despite leptin sensitivity. Neuroendocrinology 2012; 96 (04) 272-284
  • 13 Rowan JA, Hague WM, Gao W, Battin MR, Moore MP. MiG Trial Investigators. Metformin versus insulin for the treatment of gestational diabetes. N Engl J Med 2008; 358 (19) 2003-2015
  • 14 Zoncu R, Efeyan A, Sabatini DM. mTOR: from growth signal integration to cancer, diabetes and ageing. Nat Rev Mol Cell Biol 2011; 12 (01) 21-35
  • 15 Chiswick C, Reynolds RM, Denison F. , et al. Effect of metformin on maternal and fetal outcomes in obese pregnant women (EMPOWaR): a randomised, double-blind, placebo-controlled trial. Lancet Diabetes Endocrinol 2015; 3 (10) 778-786
  • 16 Syngelaki A, Nicolaides KH, Balani J. , et al. Metformin versus Placebo in Obese Pregnant Women without Diabetes Mellitus. N Engl J Med 2016; 374 (05) 434-443
  • 17 Laplante M, Sabatini DM. mTOR signaling in growth control and disease. Cell 2012; 149 (02) 274-293
  • 18 Dowling RJ, Topisirovic I, Fonseca BD, Sonenberg N. Dissecting the role of mTOR: lessons from mTOR inhibitors. Biochim Biophys Acta 2010; 1804 (03) 433-439
  • 19 Howell JJ, Hellberg K, Turner M. , et al. Metformin Inhibits Hepatic mTORC1 Signaling via Dose-Dependent Mechanisms Involving AMPK and the TSC Complex. Cell Metab 2017; 25 (02) 463-471
  • 20 Vora NL, Grace MR, Smeester L. , et al. Targeted Multiplex Gene Expression Profiling to Measure High-Fat Diet and Metformin Effects on Fetal Gene Expression in a Mouse Model. Reprod Sci 2018; (e-pub ahead of print) DOI: 10.1177/1933719118786453.
  • 21 Emami Riedmaier A, Fisel P, Nies AT, Schaeffeler E, Schwab M. Metformin and cancer: from the old medicine cabinet to pharmacological pitfalls and prospects. Trends Pharmacol Sci 2013; 34 (02) 126-135
  • 22 Schuler KM, Rambally BS, DiFurio MJ. , et al. Antiproliferative and metabolic effects of metformin in a preoperative window clinical trial for endometrial cancer. Cancer Med 2015; 4 (02) 161-173
  • 23 Romero R, Erez O, Hüttemann M. , et al. Metformin, the aspirin of the 21st century: its role in gestational diabetes mellitus, prevention of preeclampsia and cancer, and the promotion of longevity. Am J Obstet Gynecol 2017; 217 (03) 282-302
  • 24 Chandel NS, Avizonis D, Reczek CR. , et al. Are metformin doses used in murine cancer models clinically relevant?. Cell Metab 2016; 23 (04) 569-570
  • 25 Dowling RJ, Lam S, Bassi C. , et al. Metformin pharmacokinetics in mouse tumors: implications for human therapy. Cell Metab 2016; 23 (04) 567-568
  • 26 Magnuson B, Ekim B, Fingar DC. Regulation and function of ribosomal protein S6 kinase (S6K) within mTOR signalling networks. Biochem J 2012; 441 (01) 1-21
  • 27 Yu JS, Cui W. Proliferation, survival and metabolism: the role of PI3K/AKT/mTOR signalling in pluripotency and cell fate determination. Development 2016; 143 (17) 3050-3060
  • 28 Brown EJ, Beal PA, Keith CT, Chen J, Shin TB, Schreiber SL. Control of p70 s6 kinase by kinase activity of FRAP in vivo. Nature 1995; 377 (6548): 441-446
  • 29 Corradetti MN, Guan KL. Upstream of the mammalian target of rapamycin: do all roads pass through mTOR?. Oncogene 2006; 25 (48) 6347-6360
  • 30 Gürke J, Schindler M, Pendzialek SM. , et al. Maternal diabetes promotes mTORC1 downstream signalling in rabbit preimplantation embryos. Reproduction 2016; 151 (05) 465-476
  • 31 Roos S, Jansson N, Palmberg I, Säljö K, Powell TL, Jansson T. Mammalian target of rapamycin in the human placenta regulates leucine transport and is down-regulated in restricted fetal growth. J Physiol 2007; 582 (Pt 1): 449-459